Holy triglycerides! | Figure 1

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Holy triglycerides!

First of all no ekg is available at this time. 36/m complains about tight chest and chest pains and shortness while simply walking. Has been getting worse for the last 6 months. He is a smoker and one pack will last him a day and half. Has been smoking off and in since 2006. Had gastric bypass in 2004 and has kept the weight off the entire time. Ideas?

Years old patient newly diagnosed with diabetes mellitus

years old patient newly diagnosed with diabetes melitus presented to me complaining of severe abdominal pain and vomiting. Her blood sample is shown here:

  1. What was the diagnosis?
  2. Why the routine lab investigation was not helpful?
  3. What is the treatment?

Patient presents with sinus tachycardia and fatty liver

patient presents with sinus tachycardia and fatty liver. Hispanic male in upper 30s. Overweight. Other than that, no known health issues. What would be a cause and treatment recommended based on this vague assessment? What missing information would you need to further conclude a proper diagnosis and treatment plan?

A week before acquiring this EKG

A week before acquiring this EKG, the patient, an overweight man in late 60s, not on any medication for any conditions, experienced severe ‘stomach’ pain after a heavy meal and went on to feel weak for days, self-diagnosing himself with a ‘stomach bug’. How will a ‘neglected’ STEMI evolve? We know for a fact this type of MI may occur as an undiagnosed event - well beyond the window for intervention - and may lead to lasting dyskinesia without re-perfusion. What territories are involved in this patient, what vessels are likely stenosed or occluded, and what are the likely scenarios if left untreated?

A 52-year-old man presented

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?